THE RIDGLEA SENIOR LIVING
NPI 1609378603
Assisted Living Facility in Fort Worth, TX

Active since March 06, 2018CLIA 45D2199244 · Waiver
4109 WESTRIDGE AVE, FORT WORTH, TX 76116(817) 386-8251 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Ridglea Senior Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE RIDGLEA SENIOR LIVING (NPI 1609378603) is a healthcare organization registered as an assisted living facility in Fort Worth, Texas and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Tanner Stierwalt, Operations, as its authorized official.

NPPES Registry Identity

NPI1609378603
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRIDGLEA SENIOR LIVING 2015, LLC
Location Address4109 WESTRIDGE AVEFort Worth, TX 76116-7410
Mailing Address777 Main St Ste 2300Fort Worth, TX 76102-5304 · (817) 851-5805
Organization SubpartNo
Authorized OfficialTanner StierwaltOperations · (817) 851-5805
Enumeration DateMarch 6, 2018
NPI 1609378603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4109 WESTRIDGE AVE, Fort Worth, TX 76116

Other Names 1

Doing Business AsThe Ridglea Senior Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2199244

Ridglea Senior Living, The · Fort Worth, TX
Active · expires Nov 5, 2026
CLIA Number45D2199244
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorElizabeth Dailey
Laboratory Phone(817) 386-8251
Laboratory LocationRidglea Senior Living, The4109 Westridge Ave, Fort Worth, TX 76116
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
4109 WESTRIDGE AVE
FORT WORTH, TX 76116
Speech-Language Pathologist
4109 WESTRIDGE AVE
FORT WORTH, TX 76116
Occupational Therapy Assistant
4109 WESTRIDGE AVE
FORT WORTH, TX 76116
Physical Therapist
4109 WESTRIDGE AVE
FORT WORTH, TX 76116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ridglea Senior Living 2015, LLC's NPI number?

The NPI number for Ridglea Senior Living 2015, LLC is 1609378603. It was assigned to this organization in the NPPES registry on March 6, 2018. The provider is doing business as The Ridglea Senior Living.

Where is Ridglea Senior Living 2015, LLC located?

Ridglea Senior Living 2015, LLC is located at 4109 Westridge Ave, Fort Worth, TX 76116. The listed phone number is (817) 386-8251.

What is Ridglea Senior Living 2015, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Ridglea Senior Living 2015, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2199244) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ridglea Senior Living 2015, LLC was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.